Getting a nexus letter for VA disability feels way harder than it should.

Many veterans hit the same wall over and over — primary doctors refuse to write one, VSOs offer vague advice, and private companies charge hundreds or even thousands of dollars without guaranteeing results.

Secondary conditions are one of the most confusing parts of the VA disability process. The standards for proving them are inconsistent, and veterans get denied all the time even when the medical connection seems obvious

There’s no shortage of confusing information about nexus letters for PTSD. Many veterans do everything right — they research, find a doctor, gather evidence, wait months for a decision — only to get denied. Meanwhile, others seem to get high PTSD ratings without a letter at all.

There's absolutely no shortage of nexus letter templates online — trust me, I've seen them all. Way too many veterans just download these fill-in-the-blank examples and hand them straight to their doctor without customizing them for their unique situation

A VA nexus letter is one of the most important pieces of evidence a veteran can have when filing for disability benefits. In simple terms, it’s a letter written by a medical professional that connects a veteran’s current medical condition to their time in service.